Laserfiche WebLink
UCC FINANCING STATEMENT AMENDMENT ADDENDUM <br />FOLLOW INSTRUCTIONS <br />NAME OF PARTY AUTHORIZING THIS AMENDMENT: Same as item 9 on Amendment form <br />12a. ORGANIZATION'S NAME <br />Citizens State Bank <br />12b. INDIVIDUAL'S SURNAME <br />FIRST PERSONAL NAME <br />ADDITIONAL NAME(SyINITIAL(S) <br />SUFFIX <br />11. INITIAL FINANCING STATEMENT FILE NUMBER: Same as item 1a on Amendment form <br />201402629 5/2/2014 CC NE Hall County Register of Deeds <br />12. <br />OR <br />13. Name of DEBTOR on related financing statement (Name of a current Debtor of record required for indexing purposes only in some filing offices - see Instruction item 13): Provide only <br />one Debtor name (13a or 13b) (use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name); see Instructions if name does not fit <br />13a. ORGANIZATION'S NAME <br />13b. INDIVIDUAL'S SURNAME <br />WYATT <br />FIRST PERSONAL NAME <br />DARRIN <br />ADDmONAL NAME(SytlITIAL(S) <br />D <br />OR <br />14. ADDITIONAL SPACE FOR ITEM 8 (Collateral): <br />Debtor Name and Address: <br />WYATT, DARRIN D -1416 WEST DIVISION ST , GRAND ISLAND, NE 68801 <br />WYATT, MIA M - 1416 WEST DIVISION ST , GRAND ISLAND, NE 68801 <br />Secured Party Name and Address: <br />Citizens State Bank - 6500 SW Archer Rd Ste H , Gainesville, FL 32608 <br />15. This FINANCING STATEMENT AMENDMENT: <br />covers timber to be cut El covers as- extracted collateral ► is filed as a fixture filing <br />16. Name and address of a RECORD OWNER of real estate described in item 17 <br />(if Debtor does not have a record interest): <br />17. Description of real estate: <br />PARCEL #: 400072726 <br />WYATT <br />1416 W DIVISION ST <br />GRAND ISLAND, NE 68801 <br />MAP REF: 3315 -00 -0 -13690 <br />PALMERS SUB LOT 6 BLK 21 (COMP COUNTY SUB 16 -11 -9) <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />FILING OFFICE COPY — UCC FINANCING STATEMENT AMENDMENT ADDENDUM (Form UCC3Ad) (Rev. 04/20/11) <br />201503666 <br />18. MISCELLANEOUS: 48269129- NE-557 25677 - Citizens State Bank Citizens Slate Bank File with: Hall County Register of Deeds, NE 1143391 <br />SUFFIX <br />Prepared by CT Lien Solutions, P.O. Box 29071, <br />Glendale, CA 91209 -9071 Tel (800) 331 -3282 <br />